| NPI | 1063670891 |
|---|---|
| Doing Business As | DIAMOND WILLOW |
| Entity Type | Organization |
| Authorized Contact | LYNN GEVIK COO 218-625-2319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 339086) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |